Journal of the American Academy of Dermatology
Volume 62, Issue 1 , Pages 13-28 , January 2010

Caterpillars and moths: Part II. Dermatologic manifestations of encounters with Lepidoptera

  • Eric W. Hossler, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Eric W. Hossler, MD, Department of Dermatology, Geisinger Medical Center, 115 Woodbine Ln, Danville, PA 17822.

References 

  1. Hall-Smith PJ, Graham P. Beware the furry caterpillar. Clin Exp Dermatol. 1980;5:261–262
  2. Blair CP. The browntail moth, its caterpillar and their rash. Clin Exp Dermatol. 1979;4:215–222
  3. Alexander S. The browntail moth, its caterpillar and their rash. Clin Exp Dermatol. 1980;5:261
  4. Kephart CF. The poison glands of the larva of the brown-tail moth (Euproctis chrysorrhoea Linn.). J Parasitol. 1914;1:95–103
  5. Lemaire C. The Saturniidae of America: Hemileucinae. Germany: Antiquariat Geock & Evers. 2002;
  6. Hughes G, Rosen T. Automeris io (caterpillar) dermatitis. Cutis. 1980;26:71–73
  7. Hossler EW, Elston DM, Wagner DL. What's eating you? Io moth (Automeris io. Cutis. 2008;82:21–24
  8. Walker RB, Thomas T, Cupit D, Giaquinto-Shreves J. An epidemic of caterpillar sting dermatitis in a rural West Virginia community. W V Med J. 1993;89:58–60
  9. Bowles DE, Swaby JA. Field guide to venomous and medically important invertebrates affecting military operations: identification, biology, symptoms, treatment. Available at: http://www.afpmb.org/pubs/Field_Guide/field_guide.htm. Accessed October 6, 2008.
  10. Couppié P, Marty C, Sainte-Marie D, Pradinaud R. Poisonous caterpillars in French Guyana. 5 cases. [in French] Ann Dermatol Venereol. 1998;125:489–491
  11. Shevchenko A, de Sousa MM, Waridel P, Bittencourt ST, de Sousa MV, Shevchenko A. Sequence similarity-based proteomics in insects: characterization of the larvae venom of the Brazilian moth Cerodirphia speciosa. J Proteome Res. 2005;4:862–869
  12. Janzen DH. Natural history of Hylesia lineata. J Kansas Entomol Soc. 1984;57:490–514
  13. Wagner DL. Caterpillars of eastern North America: a guide to identification and natural history. Princeton, NJ: Princeton University Press; 2005;
  14. Everson GW, Chapin JB, Normann SA. Caterpillar envenomations: a prospective study of 112 cases. Vet Hum Toxicol. 1990;32:114–119
  15. Tuskes PM, Tuttle JP, Collins MM. The wild silk moths of North America: a natural history of the Saturniidae of the United States and Canada. Ithaca, NY: Cornell University Press; 1996;
  16. Edwards EK, Edwards EK, Kowalczyk AP. Contact urticaria and allergic contact dermatitis to the saddleback caterpillar with histologic correlation. Int J Dermatol. 1986;25:467
  17. Mullen GR. Moths and butterflies (Lepidoptera). In:  Mullen GR,  Durden LA editor. Medical and veterinary entomology. San Diego, CA: Academic Press; 2002;p. 364
  18. Chun S, Hara A, Niino-DuPonte R, Nagamine WT, Conant P, Hirayama C. Stinging nettle caterpillar. Available at: http://www.ctahr.hawaii.edu/oc/freepubs/pdf/IP-22.pdf. Accessed September 22, 2008.
  19. Conant P, Hara AH, Nagamine WT, Kishimoto CM, Heu RA. Nettle caterpillar. Available at: http://www.hawaiiag.org/hdoa/npa/npa01-03-netcat.pdf. Accessed September 22, 2008.
  20. Goddard J. Physician's guide to arthropods of medical importance. 2nd ed. Philadelphia: CRC Press; 1996;
  21. Eagleman DM. Envenomation by the asp caterpillar (Megalopyge opercularis). Clin Toxicol (Phila). 2008;46:201–205
  22. Stipetic ME, Rosen PB, Borys DJ. A retrospective analysis of 96 “asp” (Megalopyge opercularis) envenomations in Central Texas during 1996. J Toxicol Clin Toxicol. 1999;37:457–462
  23. Bishopp FC. The puss caterpillar and the effects of its sting on man. United States Department of Agriculture Department Circulation. 1923;288:1–4
  24. el-Mallakh RS, Baumgartner DL, Fares N. “Sting” of puss caterpillar, Megalopyge opercularis (Lepidoptera: Megalopygidae): first report of cases from Florida and review of literature. J Fla Med Assoc. 1986;73:521–525
  25. Gardner TL, Elston DM. Painful papulovesicles produced by the puss caterpillar. Cutis. 1997;60:125–126
  26. Pinson RT, Morgan JA. Envenomation by the puss caterpillar (Megalopyge opercularis). Ann Emerg Med. 1991;20:562–564
  27. Severs GA, Elston DM. What's eating you? Megalopyge opercularis. Cutis. 2003;71:445–448
  28. Holland DL, Adams DP. “Puss caterpillar” envenomation: a report from North Carolina. Wilderness Environ Med. 1998;9:213–216
  29. McGovern JP, Barkin GD, McElhenney TR, Wende R. Megalopyge opercularis: observations of its life history, natural history of its sting in man, and report of an epidemic. JAMA. 1961;175:1155–1158
  30. Neustater BR, Stollman NH, Manten HD. Sting of the puss caterpillar: an unusual cause of acute abdominal pain. South Med J. 1996;89:826–827
  31. Cates J. Puss caterpillar encounters. Available at: http://www.bugsinthenews.com/puss_caterpillar_encounters.htm. Accessed June 26, 2009.
  32. Ardao MI, Sosa Perdomo C, Pellaton MG. Venom of the Megalopyge urens (Berg) caterpillar. Nature. 1966;209:1139–1140
  33. Henwood BP, MacDonald DM. Caterpillar dermatitis. Clin Exp Dermatol. 1983;8:77–93
  34. Scott HG. Stinging caterpillars. Pest Control. 1964;32:24–25
  35. Derraik J. Erucism in New Zealand: exposure to gum leaf skeletoniser (Uraba lugens) caterpillars in the differential diagnosis of contact dermatitis in the Auckland region. N Z Med J. 2006;119:U2142
  36. Derraik JG. Three students exposed to Uraba lugens (gum leaf skeletoniser) caterpillars in a West Auckland school. N Z Med J. 2007;120:U2656
  37. Common IFB. Moths of Australia. Melbourne: Melbourne University Publishing; 1990;
  38. Southcott R. Moths and butterflies. In:  Covacevich J,  Davie P,  Pearn J editor. Toxic plants and animals: a guide for Australia. 1st ed. Brisbane, Australia: Queensland Museum; 1987;p. 243
  39. Isbister GK, Whelan PI. Envenomation by the billygoat plum stinging caterpillar (Thosea penthima). Med J Aust. 2000;173:654–655
  40. Balit CR, Geary MJ, Russell RC, Isbister GK. Prospective study of definite caterpillar exposures. Toxicon. 2003;42:657–662
  41. Kazunari U. Dermatitis to caterpillar of Latoia lepida. [in Japanese] Rinsho Derma (Tokyo). 2003;45:1549–1550
  42. Takeshi O, Yutaka Y, Tomomichi O. A case of dermatitis from a caterpillar (Latoia lepida). [in Japanese] Jpn J Clin Dermatol. 2004;58:257
  43. Kuspis DA, Rawlins JE, Krenzelok EP. Human exposures to stinging caterpillar: Lophocampa caryae exposures. Am J Emerg Med. 2001;19:396–398
  44. Hellier FF, Warin RP. Caterpillar dermatitis. Br Med J. 1967;2:346–348
  45. Centers for Disease Control and Prevention. Rash illness associated with gypsy moth caterpillars—Pennsylvania. MMWR Morb Mortal Wkly Rep. 1982;31:169–170
  46. Anderson JF, Furniss WE. Epidemic of urticaria associated with first-instar larvae of the gypsy moth (Lepidoptera: Lymantriidae). J Med Entomol. 1983;20:146–150
  47. Goldman L, Sawyer F, Levine A, Goldman J, Goldman S, Spinanger J. Investigative studies of skin irritations from caterpillars. J Invest Dermatol. 1960;34:67–79
  48. Miller JC, Hammond P. Lepidoptera of the Pacific Northwest: caterpillars and adults. US Department of Agriculture, US Forest Service; 2003;
  49. Miller JC, Hammond PC. Macromoths of northwest forests and woodlands. Morgantown, WV: US Department of Agriculture, US Forest Service, Forest Health Technology Enterprise Team; 2000;
  50. Press E, Googins JA, Poareo H, Jones K. Health hazards to timber and forestry workers from the Douglas fir tussock moth. Arch Environ Health. 1977;32:206–210
  51. Redd JT, Voorhees RE, Torok TJ. Outbreak of lepidopterism at a Boy Scout camp. J Am Acad Dermatol. 2007;56:952–955
  52. Hoover AH, Nelson E. Skin symptoms attributed to tussock moth infestation. Cutis. 1974;13:597
  53. Iserhard CA, Kaminski LA, Marchiori MO, Teixeira EC, Romanowski HP. Occurrence of lepidopterism caused by the moth Hylesia nigricans (Berg) (Lepidoptera: Saturniidae) in Rio Grande do Sul state. Brazil. Neotrop Entomol. 2007;36:612–615
  54. Specht A, Formentini AC, Corseuil E. Biological aspects of Hylesia metapyrrha (Lepidoptera; Saturniidae; Hemileucinae), in laboratory. Braz J Biol. 2007;67:173–177
  55. Rodriguez J, Hernandez JV, Fornes L, Lundberg U, Arocha-Pinango CL, Osborn F. External morphology of abdominal setae from male and female Hylesia metabus adults (Lepidoptera: Saturniidae) and their function. Fla Entomol. 2004;87:30–36
  56. Benaim-Pinto C, Pernia-Rosales B, Rojas-Peralta R. Dermatitis caused by moths of Hylesia genus (Lepidoptera, Saturniidae) in northeastern states of Venezuela: I. Bioecology of Hylesia metabus (Cramer). Clinical features of lepidopterism determined by this species. Am J Contact Derm. 1991;2:213
  57. Zaias N, Ioannides G, Taplin D. Dermatitis from contact with moths (genus Hylesia). JAMA. 1969;207:525–527
  58. Dinehart SM, Archer ME, Wolf JE, McGavran MH, Reitz C, Smith EB. Caripito itch: dermatitis from contact with Hylesia moths. J Am Acad Dermatol. 1985;13:743–747
  59. Jamieson F, Keystone JS, From L, Rosen C. Moth-associated dermatitis in Canadian travellers returning from Mexico. CMAJ. 1991;145:1119–1121
  60. Rodriguez-Morales AJ, Arria M, Rojas-Mirabal J, Borges E, Benitez JA, Herrera M, et al. Lepidopterism due to exposure to the moth Hylesia metabus in northeastern Venezuela. Am J Trop Med Hyg. 2005;73:991–993
  61. Ferguson DC. Noctuoidea, Lymantriidae, vol. 22-2. London: E.W. Classey; 1978;
  62. Henshaw S. Euproctis chrysorrhoea in Massachusetts. Science. 1897;5:845–846
  63. de Jong MC, Bleumink E, Nater JP. Investigative studies of the dermatitis caused by the larva of the brown-tail moth (Euproctis chrysorrhoea Linn.) I. Clinical and experimental findings. Arch Dermatol Res. 1975;253:287–300
  64. Dunlop K, Freeman S. Caterpillar dermatitis. Australas J Dermatol. 1997;38:193–195
  65. Scholz A, Russell R, Geary M. Investigation of caterpillar dermatitis in school children. NSW Public Health Bull. 1993;4:65–66
  66. Balit CR, Ptolemy HC, Geary MJ, Russell RC, Isbister GK. Outbreak of caterpillar dermatitis caused by airborne hairs of the mistletoe browntail moth (Euproctis edwardsi). Med J Aust. 2001;175:641–643
  67. Balit CR, Geary MJ, Russell RC, Isbister GK. Clinical effects of exposure to the white-stemmed gum moth (Chelepteryx collesi). Emerg Med Australas. 2004;16:74–81
  68. Mulvaney JK, Gatenby PA, Brookes JG. Lepidopterism: two cases of systemic reactions to the cocoon of a common moth, Chelepteryx collesi. Med J Aust. 1998;168:610–611
  69. Burwell C. Bag-shelter moths and processionary caterpillars. Available at: http://www.qm.qld.gov.au/inquiry/factsheets/bag-shelter_moths_20080709.pdf. Accessed October 2, 2008.
  70. Tsutsumi C. A histological study of the development of the urticating spicules of the Far Eastern urticating moth, Euproctis flava Bremer (Lepidoptera: Lymantriidae). Jpn J Med Sci Biol. 1958;11:443–453
  71. De-Long S. Mulberry tussock moth dermatitis. A study of an epidemic of unknown origin. J Epidemiol Community Health. 1981;35:1–4
  72. Mills RG. Observations on a series of case of dermatitis caused by a Liparid moth, Euproctis flava. Chin Med J. 1923;37:351–371
  73. Ooi PL, Goh KT, Lee HS, Goh CL. Tussockosis: an outbreak of dermatitis caused by tussock moths in Singapore. Contact Derm. 1991;24:197–200
  74. Natsuaki M. Immediate and delayed-type reactions in caterpillar dermatitis. J Dermatol. 2002;29:471–476
  75. Fuentes Aparicio V, de Barrio Fernández M, Rubio Sotés M, Rodríguez Paredes A, Martínez Molero MI, Zapatero Remón L, et al. Non-occupational allergy caused by the pine processionary caterpillar (Thaumetopoea pityocampa). Allergol Immunopathol. 2004;32:69–75
  76. Finkelstein Y, Raikhlin-Eisenkraft B, Taitelman U. Systemic manifestations of erucism: a case report. Vet Hum Toxicol. 1988;30:573–574
  77. Bruchim Y, Ranen E, Saragusty J, Aroch I. Severe tongue necrosis associated with pine processionary moth (Thaumetopoea wilkinsoni) ingestion in three dogs. Toxicon. 2005;45:443–447
  78. Turkmen H, Ali Oner Y. A human dermatitis caused by Thaumetopoea pityocampa (Denis and Schiffermuller, 1775) (order: Lepidoptera) caterpillars in Istanbul, Turkey. Allergy. 2004;59:232–233
  79. Gottschling S, Meyer S, Dill-Mueller D, Wurm D, Gortner L. Outbreak report of airborne caterpillar dermatitis in a kindergarten. Dermatology. 2007;215:5–9
  80. Ziprkowski L, Hofshi E, Tahori AS. Caterpillar dermatitis. Isr Med J. 1959;18:26–31
  81. Gottschling S, Meyer S. An epidemic airborne disease caused by the oak processionary caterpillar. Pediatr Dermatol. 2006;23:64–66
  82. Garty BZ, Danon YL. Processionary caterpillar dermatitis. Pediatr Dermatol. 1985;2:194–196
  83. Shkalim V, Herscovici Z, Amir J, Levy Y. Systemic allergic reaction to tree processionary caterpillar in children. Pediatr Emerg Care. 2008;24:233–235
  84. Spiegel W, Maier H, Maier M. A non-infectious airborne disease. Lancet. 2004;363:1438
  85. Maier H, Spiegel W, Kinaciyan T, Krehan H, Cabaj A, Schopf A, et al. The oak processionary caterpillar as the cause of an epidemic airborne disease: survey and analysis. Br J Dermatol. 2003;149:990–997
  86. Vega JM, Moneo I, Armentia A, Fernández A, Vega J, De La Fuente R, et al. Allergy to the pine processionary caterpillar (Thaumetopoea pityocampa). Clin Exp Allergy. 1999;29:1418–1423
  87. Vega J, Vega JM, Moneo I, Armentia A, Caballero ML, Miranda A. Occupational immunologic contact urticaria from pine processionary caterpillar (Thaumetopoea pityocampa): experience in 30 cases. Contact Dermatitis. 2004;50:60–64
  88. Vega JM, Moneo I, Armentia A, Vega J. De la Fuente R, Fernandez A. Pine processionary caterpillar as a new cause of immunologic contact urticaria. Contact Dermatitis. 2000;43:129–132
  89. Fuentes Aparicio V, Zapatero Remon L, Martinez Molero MI, Alonso Lebreros E, Beitia Mazuecos JM, Bartolome Zavala B. Allergy to pine processionary caterpillar (Thaumetopoea pityocampa) in children. Allergol Immunopathol. 2006;34:59–63
  90. Lamy M, Pastureaud MH, Novak F, Ducombs G, Vincendeau P, Maleville J, et al. Thaumetopoein: an urticating protein from the hairs and integument of the pine processionary caterpillar (Thaumetopoea pityocampa Schiff., Lepidoptera, Thaumetopoeidae). Toxicon. 1986;24:347–356
  91. Werno J, Lamy M, Vincendeau P. Caterpillar hairs as allergens. Lancet. 1993;342:936–937
  92. Kozer E, Lahat E, Berkovitch M. Hypertension and abdominal pain: uncommon presentation after exposure to a pine caterpillar. Toxicon. 1999;37:1797–1801
  93. Vega JM, Moneo I, Armentia A, López-Rico R, Curiel G, Bartolomé B, et al. Anaphylaxis to a pine caterpillar. Allergy. 1997;52:1244–1245
  94. Veiga AB, Blochtein B, Guimarães JA. Structures involved in production, secretion and injection of the venom produced by the caterpillar Lonomia obliqua (Lepidoptera, Saturniidae). Toxicon. 2001;39:1343–1351
  95. Arocha-Pinango CL, Marval E, Guerrero B. Lonomia genus caterpillar toxins: biochemical aspects. Biochimie. 2000;82:937–942
  96. Chan K, Lee A, Onell R, Etches W, Nahirniak S, Bagshaw SM, et al. Caterpillar-induced bleeding syndrome in a returning traveller. CMAJ. 2008;179:158–161
  97. Chudzinki-Tavassi AM, Carrijo-Carvalho LC. Biochemical and biological properties of Lonomia obliqua bristle extract. J Venom Anim Toxins incl Trop Dis. 2006;12:159–171
  98. Arocha-Piñango CL, de Bosch NB, Torres A, Goldstein C, Nouel A, Argüello A, et al. Six new cases of a caterpillar-induced bleeding syndrome. Thromb Haemost. 1992;67:402–407
  99. Gamborgi GP, Metcalf EB, Barros EJ. Acute renal failure provoked by toxin from caterpillars of the species Lonomia obliqua. Toxicon. 2006;47:68–74
  100. Zaspel VS, Kononenko VS, Goldstein PZ. Another blood feeder? Experimental feeding of a fruit-piercing moth species on human blood in the Primorye territory of far eastern Russia (Lepidoptera: Noctuidae: Calpinae). J Insect Behav. 2007;20:437–451
  101. Banziger H. Skin-piercing blood-sucking moths II: studies on a further 3 adult Calyptra [Calpe] sp. (Lepid., Noctuidae). Acta Trop. 1979;36:23–37
  102. Huang DZ. Dendrolimiasis: an analysis of 58 cases. J Trop Med Hyg. 1991;94:79–87
  103. Lawson JP, Liu YM. Pinemoth caterpillar disease. Skeletal Radiol. 1986;15:422–427
  104. Costa RM, Atra E, Ferraz MB, da Silva NP, de Souza JM, Batista Júnior J, et al. “Pararamose”: an occupational arthritis caused by lepidoptera (Premolis semirufa). An epidemiological study. Rev Paul Med. 1993;111:462–465
  105. Dias LB, de Azevedo MC. Pararama, a disease caused by moth larvae: experimental findings. Pathol Bull. 1973;7:9–14
  106. Bishop JW, Morton MR. Caterpillar-hair keratoconjunctivitis. Am J Ophthalmol. 1967;64:778–779
  107. Sood P, Tuli R, Puri R, Sharma R. Seasonal epidemic of ocular caterpillar hair injuries in the Kangra district of India. Ophthalmic Epidemiol. 2004;11:3–8
  108. Cadera W, Pachtman MA, Fountain JA, Ellis FD, Wilson 2nd FM. Ocular lesions caused by caterpillar hairs (ophthalmia nodosa). Can J Ophthalmol. 1984;19:40–44
  109. Steele C, Lucas DR, Ridgway AE. Endophthalmitis due to caterpillar setae: surgical removal and electron microscopic appearances of the setae. Br J Ophthalmol. 1984;68:284–288
  110. Watson PG, Sevel D. Ophthalmia nodosa. Br J Ophthalmol. 1966;50:209–217
  111. Fraser SG, Dowd TC, Bosanquet RC. Intraocular caterpillar hairs (setae): clinical course and management. Eye. 1994;8:596–598
  112. Lee D, Pitetti RD, Casselbrant ML. Oropharyngeal manifestations of lepidopterism. Arch Otolaryngol Head Neck Surg. 1999;125:50–52
  113. Burdick AE, Mathias CG. The contact urticaria syndrome. Dermatol Clin. 1985;3:71–84
  114. Chudzinski-Tavassi AM, Alvarez Flores MP. Exploring new molecules and activities from Lonomia obliqua caterpillars. Pathophysiol Haemost Thromb. 2005;34:228–233
  115. de Jong MC, Hoedemaeker J, Jongebloed WL, Nater JP. Investigative studies of the dermatitis caused by the larva of the brown-tail moth (Euproctis chrysorrhoea Linn.) II. Histopathology of skin lesions and scanning electron microscopy of their causative setae. Arch Dermatol Res. 1976;255:177–191
  116. Allen VT, Miller OF, Tyler WB. Gypsy moth caterpillar dermatitis—revisited. J Am Acad Dermatol. 1991;24(pt 6):979–981
  117. Foot NC. Pathology of the dermatitis caused by Megalopyge opercularis, a Texan caterpillar. J Exp Med. 1922;35:737–753
  118. Benvenuti LA, Cardoso JL, Moraes RH. Cutaneous leucocytoclastic vasculitis from contact with Hylesia moths (Lepidoptera: Saturniidae). Trans R Soc Trop Med Hyg. 1998;92:428–429
  119. Tyzzer EE. The pathology of the brown-tail moth dermatitis. J Med Res. 1907;16:43–64
  120. Corkey JA. Ophthalmia nodosa due to caterpillar hairs. Br J Ophthalmol. 1955;39:301–306
  121. Liebhold S. Gypsy moth in North America. Available at: http://www.fs.fed.us/ne/morgantown/4557/gmoth/. Accessed April 11, 2008.
  122. Hesler LS, Logan TM, Benenson MW, Moser C. Acute dermatitis from oak processionary caterpillars in a U.S. military community in Germany. Mil Med. 1999;164:767–770
  123. Salomon OD, Simon D, Rimoldi JC, Villaruel M, Perez O, Perez R, et al. Lepidopterism due to the butterfly Hylesia nigricans. Preventive research-intervention in Buenos Aires. [in Spanish] Medicina (B Aires). 2005;65:241–246
  124. Wirtz RA. Occupational allergies to arthropods—documentation and prevention. Bull Entomol Soc Am. 1980;26:356–360
  125. Micks DW. Clinical effects of the sting of the “puss caterpillar” (Megalopyge opercularis S & A) on man. Tex Rep Biol Med. 1952;10:399–405
  126. Knuckles ML, Hodge SJ, White AF. Fall webworm dermatitis. Int J Dermatol. 1987;26:320–321
  127. Beaucher WN, Farnham JE. Gypsy-moth-caterpillar dermatitis. N Engl J Med. 1982;306:1301–1302
  128. Yosipovitch G, Ademola J, Lui P, Amin S, Maibach HI. Topically applied aspirin rapidly decreases histamine-induced itch. Acta Derm Venereol. 1997;77:46–48
  129. Rosen T. Caterpillar dermatitis. Dermatol Clin. 1990;8:245–252
  130. Teske SA, Hirst LW, Gibson BH, O'Connor PA, Watts WH, Carey TM. Caterpillar-induced keratitis. Cornea. 1991;10:317–321
  131. Da Silva WD, Campos CM, Gonçalves LR, Sousa-e-Silva MC, Higashi HG, Yamagushi IK, et al. Development of an antivenom against toxins of Lonomia obliqua caterpillars. Toxicon. 1996;34:1045–1049
  132. Rocha-Campos AC, Gonçalves LR, Higashi HG, Yamagushi IK, Fernandes I, Oliviera JE, et al. Specific heterologous F(ab')2 antibodies revert blood incoagulability resulting from envenoming by Lonomia obliqua caterpillars. Am J Trop Med Hyg. 2001;64:283–289
  133. Zannin M, Lourenco DM, Motta G, Dalla Costa LR, Grando M, Gamborgi GP, et al. Blood coagulation and fibrinolytic factors in 105 patients with hemorrhagic syndrome caused by accidental contact with Lonomia obliqua caterpillar in Santa Catarina, southern Brazil. Thromb Haemost. 2003;89:355–364
  134. Caovilla JJ, Barros EJ. Efficacy of two different doses of antilonomic serum in the resolution of hemorrhagic syndrome resulting from envenoming by Lonomia obliqua caterpillars: a randomized controlled trial. Toxicon. 2004;43:811–818
  135. Gonçalves LR, Sousa-e-Silva MC, Tomy SC, Sano-Martins IS. Efficacy of serum therapy on the treatment of rats experimentally envenomed by bristle extract of the caterpillar Lonomia obliqua: Comparison with epsilon-aminocaproic acid therapy. Toxicon. 2007;50:349–356
  136. Centers for Disease Control and Prevention. Moth-associated dermatitis—Cozumel, Mexico. MMWR Morb Mortal Wkly Rep. 1990;39:219–220
  137. Fernandez G, Morales E, Beutelspacher C, Villanueva A, Ruiz C, Stetler HC. Epidemic dermatitis due to contact with a moth in Cozumel, Mexico. Am J Trop Med Hyg. 1992;46:560–563
  138. Lundberg U, Salazar V, Tovar M, Rodriguez J. Isolation and partial characterization of proteins with vasodegenerative and proinflammatory properties from the egg-nests of Hylesia metabus (Lepidoptera: Saturniidae). J Med Entomol. 2007;44:440–449
  139. Bessler E, Biedner B, Yassur Y. Thaumetopoea wilkinsoni (toxic pine caterpillars) blepharoconjunctivitis. Am J Ophthalmol. 1987;103:117–118
  140. Caffrey DJ. Notes of the poisonous urticating spines of Hemileuca oliviae larvae. J Econ Entomol. 1918;11:363–367
  141. Horng CT, Chou PI, Liang JB. Caterpillar setae in the deep cornea and anterior chamber. Am J Ophthalmol. 2000;129:384–385
  142. Lertchavanakul A, Pearce WG, Nigam S. Ophthalmia nodosa. Can J Ophthalmol. 1975;10:86–89

 Funding sources: None.

 The authors, editors, and peer reviewers have no relevant financial relationships.

PII: S0190-9622(09)01235-3

doi: 10.1016/j.jaad.2009.08.061

Journal of the American Academy of Dermatology
Volume 62, Issue 1 , Pages 13-28 , January 2010

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